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HomeMy WebLinkAboutASHLAND OVERLOOK ESTATES LT 2Onsite File Ashland Overlook Estates Lot 2 #020-101-98 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 4 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201071 PID Number: 020-101-98 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name Spencer & Rosalee Curtis ABSORPTION FIELD El Deep Trench ❑Wide Trench [:1 Bed E] Mound Site Address NHN Ashland Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907-854-9907 5 5.0 GPD/SF 0.4 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +0.1 Ft. Gravel depth beneath pipe .5 Ft. Subdivision Block Lot Ashland Overlook Estates 2 Fill added above original grade 9.75 Ft. Gravel length 30 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 150 FtZ 1 Ft. Well >50' >50' N/A N/A >25' TANK N Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Anchorage Tank/Orenco 2,500 Gal. Surface Water >50' >50' N/A N/A Material Number of compartments Lot Line >5' >5' N/A N/A NA Steel 2 Foundation >1 0' >10' N/A N/A LIFT STATION Manufacturer Capacity Remarks MOA Approved Sand placed under absorption Gal. trench to replace organic layer. Tank ballast not needed. Alarm location Electrical installed by Substantial gradinq completed at trench area. PIPE MATERIAL House to tank D3034 drainfieldTank to D3034 Installer Northern Excavation Drainfield D3034 CO/MT D3034 Inspector J.MILLETT/L.TIDWELL BENCH MARK (Assumed elevation) 100 ft Inspection 15' 10/1/20 nd 10/2/20 dates:2 Location and description Basement Concrete Slab 3rd 4th ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF Conditional Approval: Date .,,.••°"""" '••:9S;�� 49th . ... , ..z.....� ..........unn........ .....un...... MICHAEL E. ANDERSON No. cE_4381 ,, �M X11# Septic System:, aus Approved Date 0 X0.21 AF.... 1/10/21 Note: this approval does not include well permit requirements. O F44 ROFL-SS\+�4'�� trcev 05/02ri u/ ALTERNATE SITE1050 1000 FEET 1"=100' 30' LONG x 5' WIDE x 0.5' EFFECTIVE DEPTH ABSORPTION TRENCH.5-BDRM HOME2,500 GALLON STEEL TANK w/ 2-AX20 PODS. CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND MT2 PERMIT # OSP201071 PID # 020-101-98 ASHLAND OVERLOOK ESTATES, LOT 2 A B FCO 10.5 MH1 14.2 MH2 A B C C 52.1 C01 MT1 CO2 81.9 80.4 89.1 MT2 90.3 8.4 25.9 39.2 79.6 81.1 108.3 105.8 ASHLAND DR I V E 12/14/20 T&E EASEMENT 20' NON-DISTURBANCE NATURAL VEGETATION EASEMENT 33' SECTION LINE EASEMENT 10' T&E EASEMENT PROPOSED WELL 100' WELL RADII WELL PROPOSED WELL CO2 CO1 MT1 106010401030S/D TH4 PLAN AS-BUILT TH1 MH2 MH1 FCO PROFILE AS-BUILT (NO SCALE) PERMIT # OSP201071 PID # 020-101-98 ASHLAND OVERLOOK ESTATES, LOT 2 2-AX20 PODS AND MANHOLES 12/14/20 92.75 FINISH GRADEMT1 TH#179.0 GROUNDWATER 10/14/19CO1 CO278.0 83.1 83 ORIGINAL GRADE MT22,500 GAL SEPTIC TANK DRAINFIELD ROCK MOA APPROVED SAND 95.76 91.0 96.4 100.6 30' 82.682.6 83.1 82.0 R DOC CO dba BILL Sc COLE 1LLIVAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2759 OWNER OF LAND: Rosalee & Spencer Curtis ADDRESS: LEGAL DESCRIPTION Ashland Overlook Estates Lot 2 DATE: 6-9-20 PERMIT OSP201071 DATE OF ISSUE: 4-30-20 NUMBER: TAX IDENTIFICATION 02010198000 NUMBER Is well located at approved permit location: ®Yes ❑No Method of Drilling: ®air rotary ❑cable tool Depth of Well: 400' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 44 feet Liner type Static Water Level Recovery Rate 30 feet 1.2 ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: ❑ open end ®open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 200 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Surface Casing per MOA Code t'i'lts ti �.i�►�11T;>� k!•` l�.'y11 i-C�� Bore Hole Data Depth From To 0 2 Casing Stickup 2 4 Overburden 4 8 Silty Sand & Gravel 8 400 Bedrock Gray/little change N is Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW OSP201017 Date of Issue 4-30-20 Parcel Identification Number: 02010198000 Legal Description Property Owner Name & Address Ashland Overlook Estates Lot 2 Rosalee & Spencer Curtis 17185 Ashland Drive Pump Installation Date: 6-17-21 Pump Intake Depth Below Top of Well Casing: 390 feet Pump manufacturer’s Name: F&W Pump Model: 4F07G10305 Pump Size: 1 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: Northern Excavation Disinfected Upon Completion? yes no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson Pump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. f *: :ao a or5, Fc - I ioz �Op N• goo M ops di 10I m LL_ : r- IIm �Q o'oil I Q 4p b�' • .: goo 1 O m o 10 Q � L O + � V N t m 0., 0 II % r to 1 Q` �r t U 0 C m C m> .. 0 h U � w T +^ 0 V0 O CV O0 m%oo 0 0+ T V L a 000 zZ O w V � rl ww N N mmm � c c L N p m O. W M w j Z 'L«00 J 0 m m �« 3 Z« O C 0 D D C 0 O UUO0 a E O og«oF N a o � j 06 Z rHY C �O+ `m M Ov10 W.2 cm Y Q V m C R w O V MaT Om c a m m O 3 0 0«° t w m m m m m0 I . m O C > 0 0 z � 0 —O C+01_ 4 m— C t tte ._ U «Z'otmo'a -vii I J iso ma OE maxe0.co m`o U 0 m> 0 0 ` U .q 0 m p m c + «0 m J V L� L o ¢30o.m o =0 o5 658.20 G� ,65425. .3 E �N it 1�245a Ln N w 10N � 1i NN oaoxd ZUQU J O Z w a d J t0 t Mw u�"i vwi p^ N Ja o ww N O o o m� N of Q I 0 3 T > 000 I= N oQ 2La \ N z I � M ' N 00'00'45W 160.11' J J *: :ao a or5, Fc - I ioz �Op N• goo M ops di 10I m LL_ : r- IIm �Q o'oil I Q 4p b�' • .: goo CL c ,E Q O x 0 Imsa1°EO O �j 0wkn m hIQ a1N0 001 NI 0 N N 00 N N co O �onn0o & ' o o c c 0 O m o 10 Q � L O + � V II t m 0., 0 II % L to 1 Q` ALO t U 0 C m C m> „ y 0 h U � > T +^ 0 V0 O CV O0 m%oo 0 0+ T V L a 000 zZ O w V � rl ww N N mmm � c c L N p m O. W M n W j Z 'L«00 J CL c ,E Q O x 0 Imsa1°EO O �j 0wkn m hIQ a1N0 001 NI 0 N N 00 N N co O �onn0o & ' o o c c 0 Y m o O � L O + Q V t m 0., 0 O m � E'& ALO t U 0 C m C m> Q 0 h U � > T +^ 0 V0 O CV O0 m%oo 0 0+ T V L a 000 of v,E o o m rl c00 m o mmm � c c L N p m O. I HV' j 00 'L«00 m m �« 3 Z« O C 0 D D C 0 O UUO0 E O og«oF a fW00m;m j 06 rHY C �O+ `m m O Ov10 W.2 cm Y Q V m C R O V MaT Om c a m m O 3 0 0«° t w m m m m m0 I . m O C > 0 0 z � 0 —O C+01_ 4 m— C t tte ._ U «Z'otmo'a -vii I 0m iso ma OE maxe0.co m`o U 0 m> 0 0 ` U .q 0 m p m c + «0 m J V L� L ¢30o.m o =0 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP201071 Work Type: WellSeptic Initial Tax Code Number: 02010198000 Site Legal Address: ASHLAND OVERLOOK ESTATES LT 2 G:3338 Site Mailing Address: Owner: CURTIS SPENCER & ROSALEE Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft Total Bedrooms: mCnt..S XoF_.,. Cd Depai-tment 4/30/2020 4/30/2021 143136 0 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: Date: Date: LIZZZZO I: t 'nt Municipality ®f Anchorage S P.O. Box 196650 ® 4700 Elmore Road Anchorage. Alaska 99519-6650 ® (907) 343-7904 a Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Divisi®n On -Site Water and Wastewater Program x x x x VARIANCE/WAIVER REVIEW x x x x Waiver#: OSV201018 COSA#: Permit#:OSP201071 PID#: 020-101-98 Legal Description: Ashland Overlook Estates Lot 2 Engineer: Forge engineering Your request for a waiver of the required 50 feet horizontal separation from the to the has been approved. The approved separation distance is 20.0 feet. This waiver approval applies to the proposed only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. .................................... 0 0 0 0 0 0 0 0 K Z M■. t t t t .................. 0 0 0 0.. 0 1 Waiver is Granted: X Waiver is not Granted: Date: ( ?� �� Approved by: k4wor,� Name of Review ...... 0 0 a a M 0 ................ ■ .. t .. t t t t .......... t .... t t t .. ■ A ■ ....... t t t t 0 0 M N 1 **** VARIAN C E/WAIVER REVIEW **** C12LAKS MUNICIPALITY OF ANCHORAGE s Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWERM/ELL PERMIT APPLICATION Parcel I.D. 020-101-98 Property owner(s) Spencer & Rosalee Curtis Day phone 854-9907 Mailing address 15846 Noble Point Drive, Anchorage, AK 99516 Site address NHN Ashland Dr. Legal description (Sub'd., Block & Lot) Ashland Overlook Estates, Lot 2 Legal description (Township, Range & Section) Lot Size 143,136 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial 0 Single Family (SF) ❑X ADU) Septic Tank 19Upgrade El(w/wo (D) El Holding Tank ElRenewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) C_OVI�-(9 Permit/Rush Fees: $aG 5 Waiver Fees: Date of Payment: t I I a t Date of Payment: Receipt Number: Q'J? V3 D Receipt Number: Permit No. 0510:96167/ Waiver No. Permit App_-'-:- PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) April 22, 2020 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Subject: Ashland Overlook Estates, Lot 2 – NHN Ashland Drive Septic System Design and Permit Application Dear On-Site Services Engineer: The owner of the subject lot intends to build a 5-bedroom home on the property. We are submitting this permit application for the construction of a new well and septic system to serve the new home. The attached site plan identifies the location of the home and the proposed well, septic location and alternate site. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot slopes toward the west at a grade approximating 20% in the area of the proposed absorption system. Surface slopes greater than 25% are within 35 feet downslope of both the primary and alternate site. A waiver to place the system on this slope is hereby requested. A drawing showing the location of the proposed trenches on the slope is attached along with fill required to provide the necessary separation from the slope surface. Drainage arrows are shown on the site plan showing the grade and direction of flow. Storm water drainage will not impact this septic system. Please refer to the attached test hole log, plan and profile sheets for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Michael E. Anderson, P.E. Attachments 4/22/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201071, Deb Wockenfuss, 04/30/20 ALTERNATE SITE 1050200100 0 FEET 1"=100' 30' LONG x 5' WIDE, 0.5' EFFECTIVE DEPTH ABSORPTION TRENCH.5-BDRM HOME2,500 GALLON STEEL TANK w/ 2-AX20 PODS. PROVIDE STABILIZATION ANCHORS PER MANUFACTURERS RECOMMENDATIONS TO PREVENT FLOTATION. NOTE: SLOPES >25% ARE WITHIN 35' OF THE ABSORPTION SYSTEM. SEE SLOPE WAIVER. NO SURFACE WATER IS WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND MTTH1 ASHLAND OVERLOOK ESTATES, LOT 2 ASHLAND DRIVE 4/30/20 T&E EASEMENT 20' NON-DISTURBANCE NATURAL VEGETATION EASEMENT 33' SECTION LINE EASEMENT 10' T&E EASEMENT PROPOSED WELL 100' WELL RADII PROPOSED WELL PROPOSED WELL CO COMT 106010401030A S/D TH#4 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201071, Deb Wockenfuss, 04/30/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201071, Deb Wockenfuss, 04/30/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201071, Deb Wockenfuss, 04/30/20 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE 1 SLOPE SLOPE SITE PLAN DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP TEST HOLE PRESOAKED PRIOR TO TESTING: PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) ASHLAND OVERLOOK ESTATES LOT 2 10/14/19 J. Williams DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH? 4' 2.03 6 3 4 020-101-98 Spencer Curtis 12:29-12:39 10/17/19 1 2 3 4 5 6 0 - 4 15 16" 12:40-12:50 12:53-1:03 1:05-1:15 1:16-1:26 1:27-1:37 1' OB Professional Engineers Stamp: 4/21/20 10 YES none 3/23/20 GM (SANDY SILTY GRAVEL) BEDROCK 4 15 16 " 0 - 5"10 5" 0 - 4 15 16"10 4 15 16 " 0 - 4 15 16"10 4 15 16 " 0 - 5"10 5" 0 - 5"10 5" Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201071, Deb Wockenfuss, 04/30/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201071, Deb Wockenfuss, 04/30/20 ill'U�NICIIIAL,1'1'ic'01'A,,,"CHORAGE AD VAN CED WAST £t_ ,VATER TRE.,�,.,rm.ENT SYS'rEM :%1A[JNTrNANC'E_ AND REPAIR AGREE�VMNT TFHS ITEPAUT ACHURBARQ herch) made and "tand We us of dis Day of MQQ by and between S un C, pa �y of e i Ii hwAn Te MWEU and I AnAomgq herehi the MUMCIPAI JW. hi accordance %mitb, Anchorage Mutnicipal Code (ANK) 1165365. in C011"damdon of Te alt covenants coyna-ined herein, the pates to tills Agrccj,nent agj-,:e ac, ilolljo\,r-S. 1. Advaniecd Wastewater Treatmeut Ilvocmy The . Weipaliity grants perniis3ion to U,.e ( )'vni�r to ;,uld cTeraw an AMM ',Vastewater Trcartnent Systern (AWWTS), dendbed, as —WaMex ISM 'Attu Treatment Systemlocawd at (Iegal description) ?Aqhjqridg\�q!jook EstatesL2 2. Nlaintenance, Quaks and Alterations. i) veer is require to r.tad, understand and initial each section:) T' -hrotighiout the terrn of this Agreenioni. the Owner shall enter into a service agreement vkh an A",` S service and, jiiaintenance provider app ro,,,ed, by the Nimnicipalit), or the inanul'acuixr's rel)resentadve. The A�",Y-NYTS shall be n1aintained.,in a satisfactory coadicion ;u.apable of perfbori-yliingats designed and producing treated septic effluent in --ciccorclance -with the equipnien.t's approVal for operation hi the Municipality. It shall be hi c rumANUty of A Owner during', the tern -i ol"his Agrecinetu to -pay -Cor all 0 dj ustnlc I it(s), rep I ace In -C! It cost,;,, incl iinspcction. t;osts. This includes reel animlul Tnainienance, fi,e (typically $400 to S600). Owner agrees that only rnaintenwice amid repair persomid appmved by the WheyeSty or the representative willi inspect and tnake. any necessary maintenance, 01, perinitted afterations -co (lie system. Owner acknonjedges that i-egular inai ntenance of ui 46, W�V'I`S iedLices to -otQi1tia., failure of thc Sys[,:!)-],. NvIlich could include swagc backup and costly rc-pairsor drainijeld ovy MOM) Pagel W W"ar addia"Iedges that die M&PHY nm y reqwm mmks of nmhuenmce anti —1*e"alrs Fron-i itic nranulcumva mpresenta6ve or UNdMenmwe IroOder. 0,,vneracknovvledes that the fine Ar 1UNg to jn� 'j, aintainand j-,'pair an,-,VYW'TS may be i messed in accordance ',vifli AINIC 14M.030. 0"vner a= i-ees to WOM dw Nunicipaliry reasonable access to test and Ispect the The viunicipality Cvilj 'Live at lCaSt 24-11OUr notice, I---- Owner agrees Lh;U any sale or transIr of tide of we F -operty V,-ill not occur kAridictut a new IJ --f–eriificaie Of 011-Si*ce. Systenis Approvali. Owner agrees that the ANVWTS installation and maintenance requirements as provided by the AWWTS- v-clidor/installer and approved by the Municipality are the governing auidelines for the construction, maintepanceand repair of the Owner's ANYWTS. Chvner agrees to maintain remote monitoring ofthe AWWTS as required by the AWWTS approval. 3. 'i"erm. The teral of As Agremwnt shall begin on the date of approval by the; QW&IMPity to opowe Be NOW yonq ar upon lransfer of title, and shall Continue while the /VNa,,`WTS is operational or until title is transferred. A bAnwaQw. The hHum Of the NWARalig OUMY We W enhime a pm&sWn of' Ws Agreeman sod in no way constinniQ a waiva of die pmvisions. l,,Oj- in any wa- Sl ffect the vaiidity of Be Agreellient or any part lhereofcyrtj ip, f die NUROWAy thore,af'mr to ciurb,,rce ever�,, provision tiereof, 5, Amendment [lie 0vlier and IN-Ju nicipality, An),* autcnipt to muend As agreanient. by cither an unaWhorized lprescmake or shall be void. 6. jul—rikdr1etwn :QhoWq of LAI. Any Nil action ai-isim,_fironj this /\,gree inert shaH be brotq,dli in the Superior Court, 'L(.)r the Third Jud-i'Cial District of '-,be State of Alaska at Anclioragc. Ile WAS Of the SOO of Alaym WH govern the rights and obhgm%ns of die parries under-thk Agreement. 7.Arty P"Ovisionsof this Agreement decreed invalid by acourt ofconipetent -0ViSi9DS of the Agreement, (rev. 05/1841018) Pagq 2 of 3 }': _(signaturc) ; Glc1r ��rf1f S (Print name) STATE STATE OF ALASKA ) , .. ) SS. THIRD JUDICIAL DISTRICT } Date: .^�r� 20 2 - The foregoing; 'nstrument was acknowledged before me this 01 day of 201g by _ jG I OTARYPUBLIC FOR ALASKA NOTARY PUBLIC My C oiiunisslon expires: ��/y� (^� Zv Z�- H. SPICOLA ' — STATE OF EXPIRES MY COMMISSION EXPIRES JUL 04, 2022 MUNI.C:IPALl"FY: By: (signature) Date: — (,print name) Title: Certificate of On -Site Systems Approval Parcel I.D. 020-101-98 Expiration Date: Legal description Ashland Overlook Estates lot 2 Site address 17185 Ashland Drive, Anchorage, AK Current property owner(s) Curtis 1-31-2023 X The On-site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: w. r� Original Certificate Date: This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 i UHMPA TY OF MCHORAGE A Development Services Department Phone. 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 020-101-98 Complete legal description ASHLAND OVERLOOK ESTATES; LOT 2 Location (site address) 17185 Ashland Dive *Anchorage Current property owner(s) Spencer & ROsalee Curtis Day phone 854-9907 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑■ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: 0 Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 2 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. ` COSA Fee $5� Date of Payment 101 COSA# 05C� alb! U 13t((OC7 Waiver Fee $ Date of Payment Waiver # COSA Appllcabon June 2072 J Q �i Legal Description: ASHLAND OVERLOOK ESTATES; LOT 2 Parcel ID: 020-101-98 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test gpm Date drilled 6/9/20 Total depth 400 ft Water storage tank volume **500 gallons Cased to 44 ft Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Sanitary seal is functioning correctly ® Coliform bacteria is Negative ❑ Wires are properly protected Nitrate 1.1 "'� mg/L ❑ Nitrate less than MRL (ND) Casing height (above ground) 18+ in. Arsenic ug/L [�rsenic less than MRL (ND) Date of flow test for COSA * Collected by GEG, LTD. Static water level at beginning of test * ft. Date 10/11/22 Comments *NOT TESTED - SEE MOA EMAIL DATED 10/7/22 **PER REAL ESTATE AGENT B. TANK DATA Measured operating fluid level in septic tank *** Date of pumping ADVANTEX ❑ Required maintenance completed, if AWWTS Comments: *** NEW HOME OCCUPIED SINCE 10/15/21 D. ABSORPTION FIELD DATA r Which system tested (date installed) 10/2020 WE ALL standpipes present per record drawing s Total measured depth from grade *'10.15 ft (max) Measured depth to pipe invert from grade **9.65 ft (min) ❑ N/A — pressurized field. )� ❑ Per record drawings, field is insulated. ---- ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced =gallons date Any rejuvenation treatment (past 12 months) NONE If yes, enter date _ N/A C. LIFT STATION ❑ Required maintenance completed Age of lift station 2 years Lift station material STEEL Comments: ADVANTEX SYSTEM Adequacy test date Results © Pass Fluid depth prior to test * in Water added * gal New fluid depth * in Elapsed time * min Final fluid depth * in Absorption rate 750+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 in Effective depth used 0 in Effective depth remaining 6 in Comments/Deficiencies: *NOT TESTED - ALL MONITORING TUBES DRY ON 10/11/23 **PER 2021 INSPECTION REPORT/DRAWING DONE BY FORGE ENGINEERING COSA Checklist June 2022 H E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' *50+ Community Sewer Manhole/Cleanout > 100' Yes if No ft Q Yes if No ft Neighboring Tank > 100' E] Yes if No *50+ ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No *50+ ft Holding Tank > 100' © Yes if No ft Neighboring Absorption Fields > 100' *50+ Animal Containment > 50' Q Yes — if No ft Yes if No ft Community Sewer Main > 75' Yes if No ft Manure/Animal Excreta Storage > 100' Q Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ❑ Yes if No *50+ ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' F. ENGINEER'S COMMENTS *AWWTS FmJ Yes if No ft ® Yes if No ft ® Yes if No ft 9 Yes if No ft Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' ❑ Yes if No *50+ ft 0 Yes if No ft If tank or field is under driveway comment below G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Gamess Engineering Group LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Gamess Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warrantyimplied) regarding (express or lied ardin im re the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist June 2022 4-o 1�'�� EPI �_ w 'I }JI + w .' ry r • CE ?953 z � • c�G ill . • j"� �.��Ss°. o #AECC884 n MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of nL-o�e/- of 20 22 , by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as � unvik,cx WJe located at (legal description) &sl 6vJ Ove- -I o A &4,J s L .D- 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) t -(-k Throughout the term of this Agreement, the Owner shall enter into a service agreement L with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility or the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Pagel of 3 (�— _ Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. f( X12. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. N i'l Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. (�Q Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the r AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of OWNER: By: 11.L ' (signature) �. �3 gGIC, p, JJ!{f (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoi 20_22-, by _ Date: instrument was acknowledged before me this Cyt ,✓,s ,) M`66 e Ile —)--14-- AR PUBLIC FOR ALA SKA ;ommission expires:!? z02-5 MUNICIPALITY By: (signature) name) Ociv�er' Date: '3 1 - ZZ Title: (rev. 05/18/2018) Page 3 of 3 Jun.16.2022 05:59 AM At 9078686770 48 JEW MORE N NN119Boom om f 91 19 19 N 19 19 M 12 IN 119 19 Ems M R 111 WE NON 0 RM mom RqlwanTeW Field Maintenance Repon Annual Inspection fi 5/ 7 Anchoragei°ank X n7-2 7i-.qrd.q Proporty 0unor/Tracrang 6 pN (8-9) Oporotor Spencer & Rosalee ouftis 2nd Oompdrtmont Cur nt Larry uett;t3 81to Addron previous 17185 Ashland DdVe, Anchorage AK 99516 Oontad Phono {907) 555-5555 AX Vto In H County In a pod a Ayu GUL n onto of Lest trnopaatron AX -150041 OSP201071 10/11/2021 Retrieve O&M info Dally flow__... Recirc ratio,,,,. Timor settings: Perform Field Sampling/Observations NTU (15:t NTt}aj pN (8-9) D4 (2-0) 51 t . C)" 2nd Oompdrtmont Cur nt Prevlaus wor of sample Typical ituaty ❑ Earthy ❑ Moldy Eton-typlcal'�IS41-11(Ide (Cabbage ❑Docay Oily flim in PVU nYea T!No Foam In tank Elves `Suo Check Control Panel Recon Amps Discharge Amps 10� Audibio and visual alarms ZIOK Dial tons (talomatry only) ❑ yes 1, No Inspect/Clean Pump System inspect Rleer/Lid ............. , ...... Sp1100 Box .................... {� Float Cords .................... Floats ........................ Pump..................... BlotuboO Filter . .............. . 131otube Pump Vault ......... . Recirculating 5pilttor VaiVe........ Comments Clean Mannure Sludge/Scum Sludae 1 at compartment Current 41 Previous durrent Previous 2nd Oompdrtmont Cur nt Prevlaus Currant previous Inspect/Clean AdvanTex Filter Odor. Normal ❑ Pungent Blomat: 'tdormal ❑ Exoesaive Bridging/Ponding: lSlono/Minor ❑ Excessive Inspect/Clean DlachaNe Pump System Inspect Risor/Ltd ❑ Spllco Rom ❑ Float cords ❑ Inspect/Service Other System Components Inspect Clean Lz;teralx/Orifices � �� Pqd Bottom Intake Vent �—Lff , Inspect Clean Mots ❑ ❑ Ptjmp ❑ 1 ❑ inapoot Goan inapect Clean Disinfection Equipment ❑ ❑ Dispersal Lhterals/odficee ❑ [] Obsorvntiona t Addltl*nal Servlcea riendered ❑ Cleaned textile shoots? ❑ Re; lacod UV Itsma? ❑ Replacod/usod other Items? Parts Used: W = Warranty, B = Billable (✓ appropriate solectlGn) w B item Humber Dasorintion Final/Safety Inspection SV reinstalled tanifold reconnected. flush valves closed Sum atYlRecommendations systom performing; no further salon noodod ❑ Call for servtce / ` V Date Fax completed form to 1.866-384-7404 I fd4 bolted on ^Rcor�trol panel ronotivatod ❑ Tank needs pumping ❑ 01hgr? Jeff Garness From: Sonja Blewett Sent: Tuesday, October 18, 2022 3:04 PM To: Jeff Garness Subject: Fwd: 17185 Ashland Drive - Questions Sent from my iPhone Begin forwarded message: From: Sonja Blewett <Sonja@garnessengineering.com> Date: October 10, 2022 at 11:13:00 AM AKDT To: Rosalee Curtis <spencrosa@gmail.com> Subject: RE: 17185 Ashland Drive - Questions Great thanks! Sonja From: Rosalee Curtis <spencrosa@gmail.com> Sent: Monday, October 10, 2022 11:09 AM To: Sonja Blewett <Sonja@garnessengineering.com> Subject: Re: 17185 Ashland Drive - Questions Sonja, That is great news:) We did not start moving in until 10/15/21, but our conditional CO was approved on 10/05/2021. 1 attached a copy of our conditional certificate of occupancy. Let me know if I can help in any other way. Thanks for your help. Regards Spencer Curtis On Oct 10, 2022, at 10:49 AM, Sonja Blewett <Sonia@garnessengineering.com> wrote: Hello, can you provide your move in date? Sonja From: Ecklund, Timothy <timothv.ecklund@anchorageal<.gov> Sent: Friday, October 7, 2022 2:48 PM To: Sonja Blewett <Sonia@garnessenginee ring. com> Subject: RE: 17185 Ashland Drive - Questions As long as the move -in date is stated on the COSA onsite will not require flow and adequacy testing